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HomeMy WebLinkAbout-19-1300 y. ' f 3'/ . '^''',' 3w a' ' ' '9 City of Arcadia, CA Permit No. RALT 19-130G m, Development Services Department 11 - ;{ y V Permit Type Residential Addition/Alteration- 240 West Huntington Drive,Post Office Box 60021 bq a Arcadia,CA 91066-6021 ', s,l , 4,j i,,Wo,k Classification Res Addition/Alteration. I. r- (626)574-5416 x 4' t : - i „ PermitStatus':Issued. f.RCADLAIssue Date:07/08/2019:I Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 303 Genoa ST B Arcadia,CA 5779007163 Contacts LI LIU Owner EVIES INTERNATIONAL INC* Applicant 303 GENOA ST B 9218 LAS TUNAS DR,TEMPLE CITY,91780 (909)506-8799 (909)506-8799 ASSEN HOMES INC* Contractor 223 Alice ST B,Arcadia,CA 91006 (626)255-7445 789611 Description: .FTRO r1T Ai 4AtUa eeL REMODEL 1ST FLOOR Valuation: $ 19,998.07 Tenant POWDER RM,REMODEL 2ND FLOOR MASTER BATHROOM. CONVERT EXISTING BATH/CLOSET TO 2 BATHROOMS AND A Total Sq Feet: 0.00 Plan Check# Plan# CLOSET. PER HOA APPROVAL.WITH EMP 4 CHANGE OF CONTRACTOR TO ASSEN HOMES 9-5-19 Fees Amount Payments Amount Paid Bathtubs/or Combo $13.21 Total Fees $1,263.94 Building Issuing Fee $47.01 Cash/Receipt#REC-02375-19 $73.93 Building Permit Fees $404.25 Cash/Receipt#REC-01762-19 $1,190.01 Building Plan Review Fee $262.77 1 Cal Green Plan Check $26.28 Amount Due: $0.00 Change of Contractor $57.50 Electrical Permit Issuance Fee $47.01 Energy Plan Review Fee $80.85 Green Buildin Standard $1.00 compirrED g Lavatories $66.05 Light Fixtures $8.15 CALLS FOR INSPECTIONS Mechanical Permit Issuance Fee $47.01 Request for inspection by telephone at 626-574-5450. Leave a message Outlets-Receptacles&Switches $13.04 requesting the address,timeframe and what inspection item is needed. Plumbing Permit Issuance Fee $47.01 Shower $37.38 Solid Waste Management Fee $6.25 This permit/plan review expires by time limitation and becomes null and Solid Waste Management Fee 2 $1.00 void if the work authorized by the permit is not commenced within 180 days Solid Waste Management Fee 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days Solid Waste Management Fee 2 $1.00 from the date of plan submittal.This permit expires and becomes null and Strong Motion Inst.Program Res S2.60 void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Supplemental Building Issuance $16.43 Arcadia building inspector for a period of 180 consecutive days. Total: $1,263.94 z-3 X7 FiNWI dtiJ . 0(49 July 08, 2019 Issued By: Date September 05,2019 Page 1 of 1 f ARe O~4 ouF o6 -, ,, PERMIT/PLAN REVIEW APPLICATION o\ j. Development Services Department,240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax(626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code, •d my lic-nse is in full ford and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class ►. Lic .e No.'ii ► Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature ofC•-.. . ft4it/ OWNER-B I ' DECLAtION 0 I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier I demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 01/1j provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be co pleted if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑II certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 70V o the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for �j sale(Section 7044,Business and Professions Code:The Contractors License Date 7 - Signature /4grifl/,�1 i Law does not apply to an owner of property who builds or improves thereon, --------- or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed - contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. /r .._dtji Name .1L l ■ /, A Title 1 PRINT NAME I certify that I have read this application and state that the above information is cor+ect and that I am the owner or duly authorized agent of the owner. I agree to comply with a1. C'ty ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upo' he a 1 6ve-mentioned property for inspection purposes./ Signature r II .'1 . 1I Date I — ,. —f 7 re 4 -,..,",04. Permit No ,RALT 19 1300 ���x City of Arcadia, CA o , , �, Development Services Department : i 13. '`'i --'v Perm c Type:Residential Addition/Alteration• 240 West Huntington Drive,Post Office Box 60021 '4 .. e�, £V:,'''.^1 ... fl ) 4.1 r° • '� Arcadia,CA 91066 6021 I I ,, c is ; < •< ° `Work'Classification:Res-Addition/Alteration " '1 (626)574-5416t ,Permit Status:Issued ARCADIA isgUe b01 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 303 Genoa ST B Arcadia,CA 5779007163 Contacts LI LIU Owner EVIES INTERNATIONAL INC* Contractor 303 GENOA ST B 9218 LAS TUNAS DR,TEMPLE CITY,91780 s (909)506-8799 (909)506-8799 924532 ,: Description: .REMODEL 1ST FLOOR Valuation: $ 19,998.07 Tenant POWDER RM,REMODEL 2ND FLOOR MASTER BATHROOM. CONVERT EXISTING BATH/CLOSET TO 2 BATHROOMS AND A Total Sq Feet: 0.00 Plan Check# Plan# CLOSET. PER HOA APPROVAL.WITH EMP -r Fees Amount Payments Amount Paid Bathtubs/or Combo $13.21 Total Fees $1,190.01 Building Issuing Fee $47.01 Cash/Receipt#REC-01762-19 $1,190.01 Building Permit Fees $404.25 Building Plan Review Fee $262.77 Amount Due: $0.00 Cal Green Plan Check $26.28 Electrical Permit Issuance Fee $47.01 Energy Plan Review Fee $80.85 . _. Green Building Standard $1.00 :1 complErEn. Lavatories $66.05 Light Fixtures $8.15 Mechanical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS • Outlets-Receptacles&Switches $13.04 Request for inspection by telephone at 626-574-5450. Leave a message Plumbing Permit Issuance Fee $47.01 requesting the address,timeframe and what inspection item is needed. Shower $37.38 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 This permit/plan review expires by time limitation and becomes null and Solid Waste Management Fee 2 $1.00 void if the work authorized by the permit is not commenced within 180 days Solid waste Management Fee 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days Strong Motion Inst.Program Res $2.60 from the date of plan submittal.This permit expires and becomes null and Ventilation Fan(Single Duct) $39.76 void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Water Closet $37.38 Arcadia building inspector for a period of 180 consecutive days. Total: $1,190.01 2-3,u, V . July 08, 2019 Issued By: Date July 08,2019 Page 1 of 1 of ARC `0.0./u.'g9A °` !MIT;VV1q PERMIT/PLAN REVIEW APPLICATION 0, tetip �o• j�, Development Services Department,240 West Huntington Drive,Post Office Box 60021 °ntry 0,0° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173 City of Arcadia . / . _ /LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION • III I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,aa Signature of Contractor and my license is in full force and effect. I have and will maintain a certificate of consent to self-insure for workers' i License Class q License No.i1 532. /1L91Exp. Date i I g011.0 compensation, as provided for by Section 3700 of the Labor Code, for the //rr���v//��� �^ performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION vII have and will maintain workers'compensation insurance,as required by Section I] I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier H r}#QV d demolish,or repair any structure,prior to its issuance,also required the applicant -�1 AE lZ C 331 for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code) or that he or she is 7 Fl exempt there from and the basis for the alleged exemption. Any violation of I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall El I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.n compensation,will do the work,and the structure is not intended or offered for Date /I I I Signature 1 airVf-L,c. 4 sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his.or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold.within.one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. _ ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909) 396-2000 for further information. ame \j V% a l U Vl q ( \01'Cd f Title PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature - Date 7 I ' Z D i _______-----11- 11---(7 LAUNDRY ROOM DINING KITCHEN ROOM 1, `` 4ER irrn GARAGE ten, -''1 � q1 4 T 1 STORAGE LIVING ROOM FAMILY ROOM FOY G r \ Tempese� �� L 1st Floor Plan �r✓ c( kig 2i vo 303 6E w* sr i II a : i BEDROOMI MASTER - `tea ;10 ► BEDROOM II BEDROOM H JIj7 r„ :rn" h ; 4.-AtiM°STER �� 1-1 A.---,v BA ROOM ! - 1' .?:., ' rz _ FAMILY r: x ==�',►„�y ROOM / \ IL II 2nd Floor Plan 17 it C, i f 9 �l-'© . . „ , 11111111111111111111111111111111111111111 111WALIMI1111111111111111111111111 11"111 ..111111i....1111111111 -________4-___,, 01381. I 1;(41,11-Shlad '. f .11711111ifirifill 1111111.1111111111MAI ,i 9.1.1d l'ILI4111' .a J.:i,A1116.0.1111111U1111111 , Ile_ Rani I uping 1.49-zia- •-1.S,(- wa.b.74-, ••u3 =71, .751E-7 41, pleat. "Wy 20.,..Acia..„, r .1- ) -13-e—r—Etipueici imays.uo „4-3 ft,43 ,A oaq soioN se.' ,s6.60`' 66e°' I SINUI i \ k\ O *-- * :-'• N7CV.F0Ti 9Ni..I . _ - . . . . • I. .r i LAUNDRY LAUNDRY ROOM ROOM L.... ,., ,...=,_, -=_,„ ,.....7„, ,, j[10‘. .. •. POWDER' N IDA._ 0pc- ROOM SPO.-+I ER 17=f1 ti �- 1 ----T i 4'-7" 4'-7" Existing First Floor Proposed 6'! ':/t Floor Powder room Powder room Scale ' i" = 1 / - 0 " ' A 1 •I 9 % .- . , : , . , Nj BATHRM WfNQOVtih-"1 MATCH EXISTING e 1 ' • - ' ' ' '-f': "il•-'' "" . "' - • ; '' - ' •><—• - -- '-., :: '-' ---- X.• •-•. .,,,, . , , gc,), • 311) - - . . . 1 " ,E BATH N - LOSET� T�i� i BATH . - - () '. " •' .: ' ' • fl INSET . • ' - ,.. ' ' . .1i -: " " . • .., . il ' - ti . 'Existing ng end Floor Bathroom .Proposed 2n Floor Bathroom, , fly.. Qf Scale. - 7/ ,Unit B , Add� s .� 3�0�3 .. ,enc�a St , - , Arcad i A9006 , 51-2" 41-3" (N) 36"X12" BATHR WINDOW TO MA1 -I] . if -- I 1�1 -1 - EXISTING In 11'1 I 010* ii \ !ll II MN ii \ 7 [IL'Ij'sD 11 jl (E) Rip z., 4#111111b.,4#111111b., 11 E it CLOSET _ Li Q_� ( ) i `° V :.0 N BATH �� N ' 11 11 (N) NON-LOAD C1.1<1 REMOVE (E) NON !I N BEARING WALL .i I ' 11 11 (N) ' LOAD BEARNING ii 11 CLOSET ' ' Ii WALL PARTIALLY II i V Existing 2nd Floor Proposed 2no, Floor Bathroom Bathroom Scale : i" = 1: -- 0 " Address : 303 Genoa St Unit B Arcadia , CA 91006 4'-3" I __ L \N's // I I \M • a zo - 0 --M -1� REMOVE (E) NON - (N) TEMPERED GL, iI r-,_J MASTER LOAD BEARNING o SHOWER PANE - I I I BATHROOM Q WALL AND SHOWER 4 - `' 0 DOOR 4 MASTER ```` ) I ✓�9 .1.. BATHROOM L - `/ Sw SC PE • . :' - --- 40'41-SCOPE • - -- -_ . -. WC R = , _ -_ _ ' WOR Existing 2nd Floor _ _ Propos.e-d 2nd . Floor Master bathroom vaster bathroom • Scale : 4"ll = 1 ' - 0 " ROUTING ACTION \" Date In Initials oiland QM°PG°`�O\P�Gy on Sheet# 'Check: l Planning jt le,ti )` I ADD ova ado() ‘..4(11.420...a Building X 71( i Eng. 'e �h a+ATc (1 c,csT• iV-tt'f •l(0 CSC.' Fire PWS-Water WELD Trees City of Arcadia, CA , Permit NO PIuM:49-1911 x \ Development Services Department �{ 1 orf permit Type'PlUmbing 240 West Huntington Drive,Post Office Box 60021 ( 1 }i ° • a , { , ¢Work Classification Plumbing Residential Arcadia,CA 91066-6021 Li w -A I $ - ,i§ J":\__J (626)574-5416 , Permit Status:Issued ARICADIA. Issue"Date'09/19/20191 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 303 Genoa ST B Arcadia,CA 5779007163 Contacts LI LIU Owner KEMP KAM-PING LAI Contractor 303 GENOA ST B 9800 Towne WAY,El Monte,CA 91733 (909)506-8799 (626)675-9835 691124 Description:COPPER REPIPE HOUSE ONLY. UNIT B Valuation: $ 5,000.00 Tenant t. s4 Total Sq Feet: 0.00 tz Plan Check# Plan# �s+.r� a.w x. w.. :�:•a'�a a�wow a^a.aew.a•.".ts, �«r_x-a.::.<.::�,vp,.,ew � �:.. �..%- ., .m ~ Fees AmountPayments Amount Paid Complete Water Repipe $103.65 Total Fees $151.66 Plumbing Permit Issuance Fee $47.01 Cash/Receipt#REC-02551-19 $151.66 Solid Waste Management Fee 2 $1.00 -- - Amount Due: $0.00 Total: $151.66 if q-2o—►1 i �ouc� Tl.�,lNt �* 6k. 11,‘ COMPLETED 9-2s-11 CALLS FOR INSPECTIONS S4401. Pa•1 51 ,�,� I Request for inspection by telephone at 626-574-5450. Leave a message U`w,` f��� (Jf� `I"®I requesting the address,timeframe and what inspection item is needed. 10-Z1-41 1 g',.jvv MJll V V- This permit/plan review expires by time limitation and becomes null and k Crsr. : p rbZ4.%^- void if the work authorized by the permit is not commenced within 180 days f from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and 2-3-Z G void if any work authorized by this permit is suspended or abandoned for 180 Fiat- Y" V consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. ...) / . il September 19, 2019 Issued By: Date September 19,2019 Page 1 of 1 4�uFoRy9d q°~ ,r k9 PERMIT/PLAN REVIEW APPLICATION : k :.:, ..� jc Development Services Department,240 West Huntington Drive,Post Office Box 60021 m'.Ity otn' Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full 25 e and d,efCect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C...3 License No. � L L!!$xp. Date& o��Q compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor / ! performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. i. compensation,will do the work,and the structure is not intended or offeredovisgi--. 9 • sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his, or her own employees,provided that such improvements,are not;intended or-offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving-that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed - - - -- - . contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. Name K-e 9 L-4.-I -- Title b V- �-e- \-' RINr NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the ab e-mentioned property for inspection purposes. • ignature Date '? — ( g — / 9 ` a , '"PermrtNo Elec 1941914',; City of Arcadia, CA --2,z.- �tg, '10,i-43.--LA',' Development Services Department , i - ",Ir ,is Permit Tyle gEIectrlcal° :., 240 West Huntington Drive,Post Office Box 60021 tt rt ''''l t g Work�Classfication Electrical4Resldential *� ;l Arcadia,CA 91066-6021 r ,'° j e r x ��.' v I (626)574-5416 1 , ,,. .. '0 Permit Status-Issued-' ARCA li< IAissueaDate'09/19/2019 I Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 303 Genoa ST B Arcadia,CA 5779007163 Contacts LI LIU Owner ASSEN HOMES INC* Contractor si 303 GENOA ST B 223 Alice ST B,Arcadia,CA 91006 (909)506-8799 (626)255-7445 789611 \ Description:ADD 29 RECESSED LED LIGHTS 1 Valuation: $ 0.00 Tenant 4 Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Light Fixtures $42.14 Total Fees $58.57 Supplemental Issuing Fee(MEP) $16.43 Cash/Receipt#REC-02555-19 $58.57 Total: $58.57 Amount Due: $0.00 2-3--2- FtksL 0COMPLETED CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. This permit/plan review expires by time limitation and becomes null and void if the work authorized.by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. September 19, 2019 Issued By: Date September 19,2019 Page 1 of 1 OF �v�4 moo, r il PERMIT/PLAN REVIEW APPLICATION j� Development Services Department,240 West Huntington Drive,Post Office Box 60021 0.z.....„ ....ow!" °C IV' Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of . Arcadia J' ICENSED CONTRACTOR'S DECLARATION ORKERS'COMPENSATION DECLARATION ii JI hereby affirm under penalty of perjury that I am licensed under provisions of I ereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,�c- - is in full for e• d e ect. •' I have and will maintain a certificate of consent to self-insure for workers' ' License Classcense o. -74 ir I Exp. Date ,'3 1--2V compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Con . . r j 1./ II i ,amu, performance of the work for which this permit is issued. 1 WNER-BUILDER DECLARA ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ ,hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, airier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the 'olicy Number provisions of the Contractors License Law(Chapter 9(commencing with Section This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of 0 certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil of employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): ompensation Laws of California,and agree that if I should become subject to the orkers'compensation provisions of Section 700 of .e Labor Code,I shall ❑I, as owner of the roe l orthwith comply with those provisions. property,rty, or my employees with wages as their sole r compensation,will do the work,and the structure is not intended or offered for ��ate t I�`I Sr nature Il,.. ,/I'�r r sale(Section 7044,Business and Professions Code:The Contractors License L g Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own - employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed - contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND rHE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. _Fl _deiall ame_ - I. S Title SI P'1, NAME I certify that I have ead this applicationand state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply kth all 'ty ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upo, he a ove-mentioned property for inspection purposes. ►'' ature I/I/lt�f��illt. Date ' ' y- 17' ' -T41441,..,' w X 5 u � 'Rg ' .. ' ,...,:.?1,0-Z:-^',3 City of Arcadia, CA °t ,, '- pertrvo FIRE 19 1853. '.' Development Services Department '''-'44 'x \"� A.' '* PermitType Fire '• :j 240 West Huntington Drive,Post Office Box 60021 r.( '"" ).i # ';' ( ' G ' _`- p� ,,,,, , to I _ Arcadia,CA 91066-6021 a �; 5 WorkFlassiflcatlon Flame Sprinkler.; I. .v i (626)574-5416 ' '''''7:',44.' Permit Sttus sIssued'. , CAI) L -. issue Date 10/04/201.9 1 Expiration: 03/10/2020 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1. 303 Genoa ST B Arcadia,CA 5779007163 Contacts LI LIU Owner F&H Fire Protection* Contractor ' 303 GENOA ST B 1119 Westminster AVE,Alhambra,CA 91803 (909)506-8799 (626)262-3876 584319 Description:FIRE SPRINKS FOR CONDO UNIT B. 20 HEADS t Valuation: $ 2,000.00 Tenant Total Sq Feet: 0.00 Plan Check#19-1853 Plan# Fees Amount Payments Amount Paid Fire Issuance $47.01 Total Fees $851.66 Fire Permit Fees $103.65 Cash/Receipt#REC-02705-19 $151.66 Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-02473-19 $700.00 - Sprinkler Heads $700.00 Amount Due: $0.00 Total: $851.66 - S/r compiETED CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. Y011P °...r October 04, 2019 Issued By: Date October 04,2019 Page 1 of 1 V�4 �r ,C y y .. PERMIT/PLAN REVIEW APPLICATION ok 4 Development Services Department,240 West Huntington Drive,Post Office Box 60021 \Y% Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C t U License No. t-8 W1 Exp. Date \ compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractorperformance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ErI have and will maintain workers'compensation insurance,as required by Section [l I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My/wf�rkers'cpensatio insurance carrier and poli numbers are:Code.Any city or county which requires a permit to construct,alter,improve, Carrier - GA)"5fn "e I fASL^irOf✓(C•� -Po- c c demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number -11- 1 W C (�l 7 l/ 7 for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall I, as owner of the property, or my employees with wages as their sole forthwith omp with those provisions. El I, will do the work,and the structure is not intended or offered for �� 4 A--------2-j, sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. I, as owner of the property, am exclusively contracting with licensed - - - contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). 0 I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. N e _. /i IA 'i 1 i ._ i itie C ^ P•i NAME 41( I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadiao enter upon the above-mentioned property for inspection purposes. Signatur Date /....y<4/4 4ov Rc 01 >o.�m.t�d -10 Aurya S,1903 444aity oto� MEMORANDUM Fire Department DATE: January 9, 2020 TO: BUILDING DEPARTMENT INSPECTOR Jeff Wang FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 303 Genoa StreetCB THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 1-8-2020 Lill Huang FIRE ALARMS HOOD & DUCT KNOX BOX OCCUPANCY 1-8-2020 Lill Huang COMMENTS: Emailed Bldg. Dept. 1-9-2020 Rita AR micom WATER DIVISION ATTENTION: E`er C DATE: / -Z (-20 FROM: BUILDING DIVISION INSPECTOR: ADDRESS: 3 63 & Dk Sri ) -E PERMIT NO.:- i q' t q 1 ) _ PLAN NO.: CONTRACTOR: ASSSM /-19l &s I NG, PHONE NO.: 62,6' -Cr" 744 C.04015) OWNER: 1-19 L4ti PHONE NO.: PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT OF PUBLIC WORKS REQUIREMENTS. Type of Inspection Date&Initial Date&Initial Final Approval Meter Location Ai/A Blackflow Devices I Irrigation System �g 11 acilD-o N/A Fire Sprinkler System 1/2qpo Meter Clear A.P.P. Wet Swimming Pool NIA COMMENTS: To Whom It May Concern:, Mrs. Li Liulocated at 303 Genoa St. Unit B Arcadia,CA 91006 will no longer be using Evies International,Inc as the;contractor for the addition/alterations that will be done to her home. She will be assigning a new contractor for her project shortly. In the meantime can you please remove Evicts International, Inc from construction permit#RALT-19-1300. Best Regards, Alvin Shih .V< '�,-- Operation Manager EVIES International, Inc. License#924532 architecture I interior I landscaping E A 9218 Las Tunas Dr. Temple City, CA 91780 T 626.382.3208 F 626.802.5977